Individual provider Active NPI

Sejal Patel, DO

  • Pediatrics Physician
  • Mechanicsville, VA
National Provider Identifier
1992384846
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102208326 Issued in VA
Practice address
8356 Bell Creek Rd
Mechanicsville, VA 23116-3813
Phone
(804) 559-5437
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 0102208326 VA Primary

Addresses

Primary practice location

8356 Bell Creek Rd
Mechanicsville, VA 23116-3813

Mailing address

8356 Bell Creek Rd
Mechanicsville, VA 23116-3813
Phone (804) 559-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505002667 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0446728729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102208326VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidmed Inc. Current Accepting new patients
Kidmed Southside PLC Past Accepting new patients

Locations

8356 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 559-5437

5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437

20 Doc Stone Rd
Stafford, VA 22556
Phone (540) 602-7766

Interoperability endpoints

  • Direct secure messaging: sejalpatel@kidmed.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1992384846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8356 BELL CREEK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163813",
            "telephone_number": "804-559-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8356 BELL CREEK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163813",
            "telephone_number": "804-559-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SEJAL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102208326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.